HomeMy WebLinkAbout203874 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 00351010 Page 1 of 1
4 ONE CIVIC SQUARE HALSEN PRODUCTS
CARMEL, INDIANA 46032 PO BOX 877 CHECK AMOUNT: $302.64
BELMONT MS 38827
CHECK NUMBER: 203874
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 0113325 -IN 302.64 UNIFORMS
U V l`7 O C E PAGE: 1
HALSEN PRODUCTS COMPANY
P.O. BOX 877
BELMONT, MS 38827
NATIONWIDE 1- 800 -344 -6696 0113325 -IN
FAX 1 -800- 826 -8839 INVOICE NUMBER:
INVOICE DATE: 11/14/2011
ORDER NUMBER:
ORDER DATE:
SALESPERSON: 0523
CUSTOMER NO: 0230327
SOLD TO SHIP TO
CITY OF CARMEL STREET DEPARTMENT
ACCOUNTS PAYABLE DEPT BONNIE CALLAHAN
3400 W 131ST ST 3400 WEST 131 STREET
Westfield, IN 46074 Westfield, IN 46074
CONFIRM TO:
BONNIE
CUSTOMrR'P. O.`_"" SRTP "VIA`-,,. FO.B "TERMS....-
BONNIE UPS Net 30
ITEM NO'. UNIT ORDERED SHIPPED BACK ORDER PRICE AMOUNT
EACH 144 144 0 1.950 280.80
H D QUILTED YLW CHORE GLOVES
N.et_in_v_oice 280.80
Less Discount: 0.00
Freight: 21.84
THANK YOU FOR YOUR ORDER
Sakes Tax:___________ 0.00_
Invoice Total: 302.64
Less Deposit: 0.00
302.64
INVOICE BALAfi10E
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/14/11 0113325 -IN $302.64
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Halsen Products
IN SUM OF
P. O. Box 877
Belmont, MS 38827
$302.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 0113325 -IN 43- 560.01 $302.64 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, November 17, 2011
-4
U 0
Street Commissioner
Lreec t gmiss o; er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund